Displaying 204441-204450 of 1611142 results.
ID:
204441
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
995666
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204442
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
198145
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204443
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
313215
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204444
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
313217
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204445
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
313219
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204446
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
260376
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204447
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
857706
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204448
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1359105
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204449
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
328161
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204450
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197971
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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